扁桃体切除术后并发茎突综合征12例临床分析

Clinical analysis of 12 cases with concurrent styloid process syndrome after tonsillectomy

目的：探讨扁桃体切除术后并发茎突综合征的原因及手术疗效。方法收集扁桃体切除术后并发茎突综合征患者12例，对其行茎突切除术并进行临床分析。结果10例患者行单侧茎突切除术，2例患者行双侧茎突切除术治疗，术后随访6个月至5年，观察其术后疗效，12例患者症状均完全消失。结论扁桃体切除术后出现茎突综合征可能与局部瘢痕形成牵拉有关，手术行茎突切除是有效的治疗手段。

Objective To study the reason of concurrent styloid process syndrome after tonsillectomy and the clinical effect of styloidectomy.Methods Twelve patients with styloid process syndrome after tonsillectomy receiving styloidectomy were retrospectively analyzed.The clinical effect was evaluated.Results Ten patients were operated on unilateral styloid,two patient was operated on bilateral styloid.All patients were followed -up for 6 months to 5 years after operation.All of them were cured.Conclusion The mechanism of styloid process syndrome after tonsillectomy might be related to the stimulation of scar formation in the tonsillar fossa.Styloidectomy ia an effective method of treatment.